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Right ventricular free wall perforation during pericardiocentesis, and an inappropriate device selection for percutaneous treatment
Author(s) -
Celik Mehmet,
Yilmaz Yusuf,
Kahyaoglu Muzaffer,
Kup Ayhan,
Bilen Yusuf,
Zehir Regaip
Publication year - 2021
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.15146
Subject(s) - medicine , pericardiocentesis , percutaneous , perforation , selection (genetic algorithm) , surgery , cardiology , pericardial effusion , artificial intelligence , punching , materials science , metallurgy , computer science
Right ventricular (RV) perforation is a rare but life‐threatening complication of pericardiocentesis and is usually treated surgically. We presented a case of RV free wall perforation, which occurred during pericardiocentesis and tried to be closed percutaneously with the Amplatzer vascular plug‐III (AVP‐III) device. The occluder device sealed the perforation, but it was in an insecure position; therefore, the patient underwent surgical repair. As an AVP‐III device, with a middle disk thicker than the RV myocardium, it may cause the RV myocardium to stretch outwards, so it should not be used for the treatment of RV perforation by the transcatheter way.